| NPI | 1932474509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A EVANSON President/Director 952-949-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1062750) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |